I've been on bupropion xl 300mg for 7 years and it has truly changed my life. I used to have very severe Seasonal Affective Disorder and social anxiety, both of which have been all but cured with the medication. However, I have also struggled with ADD my entire life and now, finally, at 44, I have sought treatment for that as well. I was prescribed methylphenidate ER-LA 20mg. I am trying to determine the best strategy for taking these pills. I have been taking the bupropion first, then the methylphenidate about an hour later. I feel GREAT at first--focused, clear, calm. But then 4 hours later, I start to feel "buzzy" and anxious (I'm assuming around the time that the second wave releases).
My questions: Would it be better to take methylphenidate first and bupropion several hours later? Or just spread them out further? (Taking them at the same time creates the same anxiousness, so I'd like to stagger them.) Or should I get a lower dosage of methylphenidate? (Or does this reaction really mean I do not have ADD?)
Also, I *love* coffee--but I fear caffeine on top of this mixture just makes it a bit too much. Should I switch to decaf?